Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,230.27 / $7,762.47	Facility		$95.50	$1,230.27	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $524.81	Professional		$87.10	$173.78	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $134.90	Professional		$79.43	$100.00	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $676.08 / $1,412.54	Facility		$549.54	$676.08	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $186.21	Professional		$89.13	$128.82	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $229.09	Professional		$85.11	$141.25	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $426.58	Professional		$95.50	$169.82	$426.58
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $151.36	Professional		$83.18	$93.33	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $239.88	Professional		$83.18	$141.25	$239.88